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20

Doctor insights on:
Tendonitis And Arthritis

1

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There is some evidence that those with hypermobilty are at increased risk of sprains and strains, although there also exists some evidence to the contrary. Pathophysiologically speaking, I am not aware of any studies implicating changes in the structure of tendons among individuals with hypermobility
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That term is not really a specific diagnosis, but rather somewhat of a general term. The medical term is arthralgias, which implies pain in multiple joint possibly coming from a single cause. Don't hesitate to be seen and evaluated for a more specific diagnosis.
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4

Diet related:
Gout is a condition that is diet related. Richs foods can cause a elevated uric acid in the blood. Most commonly, the big toe joint will become red, hot, swollen and painful.a list of these foods can be found on the Internet. Long term gout can cause arthritic changes in the involved joints. You should see your podiatrist for evaluation and blood tests.
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5

Autoimmune diseases:
Autoimmune diseases can sometimes be associated with inflammatory joints and result in laxity. This can can create instability and can create abnormal pull/strain in some muscles - particularly those that are responsible for balance.
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7

Tendonitis:
Pain and swelling at the anterior knee, worse with getting up from a seated position, worse with stairs, squats, lunges, etc. May have some localized warmth, numbness, or tingling.
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10

See below.:
Gout is the result of high uric acid circulating in blood that deposits in a joint causing acute pain. This can be caused from a over production or an under excretion. Rheumatoid arthritis is an inflammatory auto-immune disease that affects multiple joints. A physician will examine you and test for these conditions if necessary.
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12

Get lab work done:
Most common type of arthritis is Osteo-arthritis or "wear and tear" arthritis. Blood tests can indicate the possibility of rheumatoid arthritis. Any specific concerns, would recommend a consult with a rheumatologist for evaluation.
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13

Different causes:
Gouty arthritis- due to an increase of uric acid production or underexcretion. Typically affects big toe joints, as well as the mid foot, ankle, knees, wrist. Diagnosis confirmed by uric aicd crytals in the joint. Presents itself by painful acute episodes, typically at night.
Osteo- bone on bone- which cause inflammation in and around the joint.
Ra- chronic persistent pain, .
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16

See below:
Osteoarthritis can coexist with any arthritis including rheumatoid
some inflammatory arthritis such as rheumatoid which can damage the joints may lead to more osteoarthritis due to joint damage.
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17

CRP?:
Best test for inflammation! you should have had that done. Being b27 negative does not r/o spondyloarthritis, as many docs believe. Not by any stretch. But if CRP is negative, then issues of hypermobility, weight, and your activities need to be addressed more intensely! i would take an NSAID for pain relief!
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18

Arthtitis and Gout:
Arthritis is associated with erosion of cartilage within a joint that can happen at any joint. Gout is caused by a build up of uric acid in the body and the most common joint to find it in is the big toe joint. Arthritis gereraly has no uric acid.
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20

Sometimes:
One of the potential causes of tendonitis is overuse by the muscle/tendon unit trying to stabilize a hypermobile joint. This is certainly the case with the posterior tibial tendon in individuals with flexible flatfoot. However, not all tendinitis is related to joint hypermobility, so you would need to consult with your doctor to determine the cause of your tendinitis.
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